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B. Maciejewski



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    RF07 - Techniques to Accelerate Innovation (ID 28)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Rapid Fire Session
    • Track: Health Business Process
    • Presentations: 1
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      RF07.03 - Spread of HIT Innovations: Social Franchising Applied to eConsultation Services (ID 450)

      B. Maciejewski, Telfer School of Management, University of Ottawa; Ottawa/CA

      • Abstract
      • Slides

      Purpose/Objectives: The Canadian healthcare system has witnessed extensive innovation activity in recent years, but the system has been caught in a perpetual cycle of pilot projects, which precluded spreading and scaling up of potentially relevant and important innovations. Social franchising represents a governance and operating model that has been widely used to support the quick and successful scaling up of certain types of social initiatives. This project presents an overview of social franchising in general, and in the context of health care, discusses its applicability to health IT innovations, and proposes a governance and operational framework based on this model for the Champlain BASE™ eConsultation program.

      Methodology/Approach: A literature review on social franchising was performed to evaluate this model in non-healthcare and healthcare realms. A general search was performed in electronic databases (e.g. Medline (Ovid), ProQuest, Scopus) to identify relevant peer-reviewed articles on social franchising and gauge the scope of research. The initial search of the term “social franchising” yielded 438 hits, after which the yields were narrowed using more specific search terms (e.g., “social franchising” and “health”). Three systematic reviews on social franchising were identified in the process. Grey literature was used to supplement the use of social franchising in healthcare and non-health industries by filtering through organizations websites and news articles.

      Finding/Results: Social franchising has been enthusiastically embraced internationally in healthcare and non-healthcare industries. Peer-reviewed articles related to social franchising and healthcare generally presented low quality evidence and concentrated around patient outcomes in family planning and reproductive health programs implemented in low- and middle-income countries. Articles related to social franchising in high-income countries were largely absent. Overall, the lack of high quality peer-reviewed articles is due to the recent advent of this model. While the evidence is still scarce on the effectiveness of this model, there were strengths consistent across the articles. When used appropriately, social franchising has shown to increase patient satisfaction and program accessibility with the most impressive strength being its proven ability to rapidly spread programs in the healthcare sector without sacrificing quality. A National BASETM governance model is proposed for the Champlain BASETM program, using social franchising as the key linkage mechanism between the governing National BASETM Committee (franchisor) and the provincial franchisees.

      Conclusion/Implications/Recommendations: Social franchising is now the fastest growing approach of healthcare in low- and middle-income countries. Healthcare systems in high-income countries, such as the UK, Germany, Australia, and Denmark are taking notice and are beginning to experiment with the model as well. HIT innovation in Canada cannot be unleashed until the barrier of fragmentation is overcome. Social franchising has not been diversely tested within the healthcare industry, but with the strengths this model has shown in the healthcare systems of low- and middle-income countries and in non-health industries, this model appears to present opportunities that may benefit the healthcare system in Canada. The Champlain BASETM team and the Canadian healthcare system should consider the model as a viable governance and operating framework to scale and spread innovative health IT programs.

      140 Character Summary: Social franchising can overcome healthcare fragmentation and scale and spread HIT innovation. An application to the Champlain BASE project is conceptualized.

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